Medical Council of Canada MCCQE Part 1 Sample Questions:
1. A 22-year-old woman, gravida 1, para 0, aborta 0, comes to the office at 10 weeks' gestation for her first prenatal visit. When you ask how she is doing, she becomes tearful and says she has had severe nausea and vomiting. She is not taking her prenatal vitamins regularly and feels very guilty about it. She is worried that she is harming the fetus. Which one of the following is the most appropriate management of this patient's case?
A) Advise her to replace her vitamin with folic acid only until her nausea improves
B) Refer her for counselling to manage her feelings of guilt
C) Prescribe ginger tablets to be taken 4 times daily
D) Suggest that she take cannabinoids 30 minutes before taking her prenatal vitamins
E) Tell her she should continue to take her prenatal vitamins daily regardless of nausea
2. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?
A) #-Blocker
B) Holter monitoring
C) Treadmill exercise test
D) Echocardiogram
3. A 68-year-old man with a history of diabetes, hypertension, delirium tremens, and tobacco addiction comes to the Emergency Department with his daughter. She tells you that his behavior has become unmanageable and she feels he may require an increased level of care. His vital signs are:
Blood pressure: 162/105 mm Hg
Heart rate: 112/min, regular
Temperature: 37.8°C
On history, his daughter explains she had to confiscate a half-empty bottle of alcohol from his room yesterday. He is now convinced that there are bugs crawling all over him and he will not relax. He appears pale, sweaty, and shaky. His most recent blood glucose is 7.8 mmol/L (3.8-11.1). Which one of the following is the best next step?
A) Consult a Geriatric Psychiatrist to assess the patient.
B) Provide the family member with a prescription of antipsychotics for the patient.
C) Administer benzodiazepines and intravenous hydration.
D) Interview the patient in private to ensure this is not a case of elder abuse.
4. You are examining a full-term baby girl in the nursery. You notice that her left forefoot is adducted and supinated relative to the contralateral foot, which makes her left foot appear C-shaped. Which one of the following findings is most instrumental in deciding on the management of this issue?
A) Flexibility of the deformity
B) Syndactyly of 2nd and 3rd toes
C) Cephalohematoma
D) Significant hallux valgus
E) Internal tibial torsion
5. An otherwise well 18-month-old girl is brought to your family practice office for routine immunization. Her mouth is as shown in the attached image. She has no symptoms. Which one of the following is the most likely cause of this presentation?
Image description: Severe black and brown decay of multiple upper front teeth, with relatively spared lower teeth.
A) Use of oral iron supplements.
B) Lack of fluoride in drinking water.
C) Vitamin D deficiency.
D) Repeated courses of antibiotics.
E) Putting the child to bed with a bottle.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: E |
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